摘要
Abstract
Objective:To investigate the early postoperative complications and related risk factors of bladder cancer after total resection of bladder cancer.Method:From May 2012 to August 2015,the clinical data of 163 patients with bladder cancer treated in our hospital were retrospectively analyzed,all patients underwent radical resection of bladder,patients with early complications within 3 months after the operation were statistically analyzed,Logistic regression analysis was used to analyze the related factors of early complications.Result:40.49%(66/163)patients with complications,according to Clavien classification including grade I 30.30%(20/66), gradeⅡ46.97%(31/66),gradeⅢ15.15%(10/66),gradeⅣ6.06%(4/66),grade V 1.52%(1/66).Among the complications,the incidence of incomplete intestinal obstruction was the highest,which was 21.21%(14/66). According to the types of complications,the incidence of gastrointestinal complications was the highest,which was 43.94%(29/66).Logistic regression analysis showed that age(P=0.000),ASA grade(P=0.018),operation time(P=0.007),intraoperative blood transfusion volume(P=0.009)and diabetes(P=0.019)were significantly associated with early complications.Conclusion:The postoperative patients with bladder cancer bladder easily cause a series of early complications,but severity complication is relatively concentrated in the mild and severe complication rates is low.Age,ASA sizing,intraoperative blood transfusion volume,operation time and diabetes are the risk factors for early postoperative complications,the prompt clinical should begin from the above aspects to strengthen prevention.关键词
膀胱癌/膀胱全切术/早期并发症/危险因素Key words
Bladder cancer/Radical cystectomy/Early complications/Risk factors
